NPIMap

Organization Active NPI

Brooklyn Body Works Physical Therapy - Northside

  • Physical Medicine & Rehabilitation Physician
  • Brooklyn, NY
National Provider Identifier
1275398265
Registry record updated Feb 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
BROOKLYN BODY WORKS PHYSICAL THERAPY - NORTHSIDE
Practice address
101 N 10TH St Apt 302
Brooklyn, NY 11249-1910
Phone
(718) 702-6105
Fax
(718) 702-8659
NPI assigned
Feb 19, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Cristina N Nolivos Rodriguez
Title
Administrative Manager
Phone
(718) 340-3345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary

Addresses

Primary practice location

101 N 10TH St Apt 302
Brooklyn, NY 11249-1910

Mailing address

101 N 10TH St Apt 302
Brooklyn, NY 11249-1910
Phone (718) 702-6105

Other practice location 1

202 Union Ave Ste K
Brooklyn, NY 11211-7467
Phone (718) 387-7422

Other names 1

  • BROOKLYN BODY WORKS PHYSICAL THERAPY & WELLNESS Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708300800000",
    "number": "1275398265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 10TH ST APT 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112491910",
            "telephone_number": "718-702-6105",
            "fax_number": "718-702-8659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 10TH ST APT 302",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112491910",
            "telephone_number": "718-702-6105",
            "fax_number": "718-702-8659"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "202 Union Ave Ste K",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112117467",
            "country_code": "US",
            "telephone_number": "718-387-7422",
            "fax_number": "718-387-7421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "BROOKLYN BODY WORKS PHYSICAL THERAPY - NORTHSIDE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-19",
        "last_updated": "2024-02-19",
        "certification_date": "2024-02-14",
        "status": "A",
        "authorized_official_last_name": "NOLIVOS RODRIGUEZ",
        "authorized_official_first_name": "CRISTINA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "ADMINISTRATIVE MANAGER",
        "authorized_official_telephone_number": "718-340-3345"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "BROOKLYN BODY WORKS PHYSICAL THERAPY & WELLNESS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.